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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOSEPH JEAN NICOLAS, M.D.

Deactivated Sole Proprietor

JOSEPH JEAN NICOLAS, M.D. is a Internal Medicine healthcare provider located in QUEENS VILLAGE, New York. NPI 1386723229 is deactivated in the NPPES registry. Verify at CMS.

Internal Medicine · QUEENS VILLAGE, NY

This NPI has been deactivated. The record was deactivated on September 27, 2016. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1386723229
Provider Type
Individual
Gender
Male
NPI Issued
Nov 2, 2006 (9.9016393442623 yrs)
Last Updated
Oct 5, 2016
Deactivated
Sep 27, 2016
License
130265 (NY)
Sole Proprietor
Yes

Practice Information

Address
10415 SPRINGFIELD BLVD
QUEENS VILLAGE, NY, 114292032
Browse NY providers · Browse ZIP 11429
Phone
7187766050
Fax
7187766051
Primary Specialty
Internal Medicine
207R00000X

Other Internal Medicine Providers in QUEENS VILLAGE, NY

Name Credential NPI
SHEELA MANOJ KURUP M.D. 1013917863
MAHENDRA AMIN M.D. 1235128711
DR. SATISH KESHAVRAO DESHPANDE MD 1255399960
DR. SATBACHAN SINGH DHANJAL MD 1760433031
SAROJ B GULATI MD 1962457150
DR. ROXANNE HOBBS-GREEN MD 1750322442
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.